NP / PA
Simoes, Dawn
Simoes, Dawn was paid $270K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 46% of everything it billed.
33Billing provider infoSIMOES, DAWN
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1083033187assigned 04/16/2014
33bProvider typeFamily Nurse Practitioner
28Total paid$270K
24GClaims6,763
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Rhode Island
Rank by total paid#17 of 266
Median peer was paid$31K
This provider vs. median8.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 590 | $25K | |
| 2019 | 384 | $10K | |
| 2020 | 633 | $20K | |
| 2021 | 1,643 | $49K | |
| 2022 | 1,301 | $42K | |
| 2023 | 1,187 | $51K | |
| 2024incomplete | 1,025 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 46% | 2,754 | 2,572 | $124K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 21% | 521 | 495 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 402 | 382 | $35K |
| 83036 | Hemoglobin; glycosylated (A1C) | 6.1% | 751 | 711 | $17K |
| 36415 | Collection of venous blood by venipuncture | 3.2% | 1,050 | 873 | $9K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.0% | 129 | 119 | $8K |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.8% | 445 | 426 | $8K |
| 80053 | Comprehensive metabolic panel | 2.8% | 371 | 347 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 208 | 196 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 90 | 88 | $2K |
| 80061 | Lipid panel | <1% | 16 | 15 | $489.40 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 26 | 24 | $149.66 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.